Jackson Pediatric Dentistry PC

Jackson Pediatric Dentistry PC is a healthcare organization registered as Pediatric Dentistry in Jackson, NJ, holding Type 2 (organization) NPI 1588158539 since 2018. The authorized official on file is Jacqueline Mikhly, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1588158539
Entity type	Organization (Type 2)
Legal business name	Jackson Pediatric Dentistry PC
Practice address	2064 W COUNTY LINE RD, Jackson, NJ, 08527
Phone	7326379805
Enumeration date	2018-06-21
Last updated in NPPES	2018-06-21

Authorized official

Name	Jacqueline Mikhly
Title	Owner
Phone	9179748445

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0221X	Pediatric Dentistry	Primary	22DI02529300	NJ

Other identifiers

Identifier	Type	State	Issuer
22DI02529300	Other	NJ	DENTAL LICENSE

Copy-ready billing details

Provider: Jackson Pediatric Dentistry PC
NPI: 1588158539
Taxonomy: 1223P0221X (Pediatric Dentistry)
Address: 2064 W COUNTY LINE RD, Jackson, NJ, 08527

Providers at this address

NPI	Name	Type	Specialty	Location
1093160251	Renata Alekhnovich	Individual	Pediatric Dentistry	Jackson, NJ
1730824129	Kristina Kerolus	Individual	Pediatric Dentistry	Jackson, NJ

Verify this record

Cross-check NPI 1588158539 against the authoritative CMS record: view Jackson Pediatric Dentistry PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-21. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Pediatric Dentistry PC located?

The practice location on file with NPPES is in Jackson, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-21.